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24 Cards in this Set
- Front
- Back
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What are the physiological characteristics of the fight or flight response?
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- HR & BP increase
- Blood flows to the muscles - Breathing rate increases - Perspiration increases - Blood clotting ability increases - Saliva production decreases - Digestion decreases - Immune response decreases - Energy-producing stored glycogen is released |
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What are the levels anxiety?
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- Mild
- Moderate - Severe - Panic |
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What are the characteristics of the mild level of anxiety?
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-heightened sensory awareness
- conducive to learning and problem solving - alert, confident and secure |
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What are the characteristics of the moderate level of anxiety?
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-dulled sensory perception
- remains conducive to learning and problem solving - frequent changes of topic - may have blocking - mild psychomotor agitation |
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What are the characteristics of the severe level of anxiety?
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- sensory perception increasingly distorted
- scattered and disorganized processing - cognitive functioning is hindered - increasing psychomotor agitation (fine/gross tremors) - picture of extreme discomfort |
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What are the characteristics of the panic level of anxiety?
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- sensory perception grossly distorted
- problem solving virtually impossible - psychotic-like state - not interpreting senses correctly |
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What are the characteristics of anxiety disorders?
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- conditions in which affected pt experiences anxiety that they cannot dismiss
- coping mechanisms are ineffective - Anxiety interferes with activities of daily living |
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What characteristics of anxiety require interventions?
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- Greater than expected intensity based on context
- Prevents fulfillment of professional, personal or social roles. - Accompanied by flashbacks, obsessions, or compulsions -Curtails daily or social activities - Lasts longer than expected given the precipitating stress |
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What are the symptoms of generalized anxiety disorders?
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-Persistent & chronic signs of severe anxiety (motor tension, autonomic hyperactivity, apprehensive expectation)
- Chronic hypervigilance for potential threats - Displays of impatience and irritability -Excessive worry -Difficult w/sleep and concentration *Symptoms must last at least 1 month for dx |
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DEF
Agoraphobia |
Fear of being alone or in a public place from which escape would be difficult
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DEF
Social Phobia |
A persistent, irrational fear of and compelling desire to avoid situations in which person would be exposed to strangers or scrutinized
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DEF
Anticipatory response |
Fear of being reexposed to phobia
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DEF
Panic Attack |
Characterized by a discrete period of intense apprehension or terror without any real accompanying danger,accompanied by at least 4 of 13 somatic or cognitive symptoms.
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DEF
Panic Disorder |
Recurrent, unexpected panic attacks that cause pt to worry persistently and undergo behavioral changes in response to the attacks for at least 1 month.
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What are the symptoms of panic attacks?
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-palpitations, pounding heart or increased HR
- Sweating -Trembling or shaking - Smothering or SOB - Feeling of choking - Chest pain or discomfort - Abdominal distress or nausea - Feeling dizzy, unsteady, light-headed or faint - Derealization or depersonalization - Fear of losing control or going crazy - Fear of dying |
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DEF
Obsessive-Compulsive Disease |
Recurrent obsessions or compulsions that are time consuming (>1hr) and/or cause distress. The purpose of the ritual is to reduce anxiety.
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What are the different types of stress disorders?
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- acute stress disorder
-acute PTSD - Chronic PTSD -Delayed PTSD |
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DEF
Stress disorder |
Results from exposure to a severe or extraordinary stressor
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Characteristics of Acute stress disorder
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-Occurs within the 1st month of exposure
- Pt has memory loss -Dissociation and cannot remember what happened - Resolves on it's own in 28 days |
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Characteristics of Acute PTSD
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-Symptoms similar to acute stress disorder, however symptoms do not resolve within 28 days.
- Pt may have flashbacks, intrusive thoughts |
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Characteristics of Chronic PTSD
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-Symptoms similar to acute stress disorder/acute PTSD however symptoms persist >3 months
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Characteristics of Delayed PTSD
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Symptoms do not occur until after 3 months
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What are the desired outcomes of treatment of anxiety disorders?
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- Return to previous level of functioning
- fewer/no anxious symptoms - Resumption/enhancement of productivity - Replacement of bad coping strategies with good ones - Improved quality of life - ID triggers |
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What classification of meds are used to treat anxiety?
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-SSRIs (Prozac) first choice
- Benzodizepines (BZDs) - good for panic level ie Zantac, ativan - Buspirone- need to take pill every day -Tricyclic antidepressants (TCAs)- Elavil do not give to suicidal pt; is cardio toxic, overdose can be fatal |
